Which supportive care measure is appropriate for a client complaining of back labor pain

Back pain at work: Preventing pain and injury

Heavy lifting, repetitive movements and sitting at a desk all day can take a toll on your back. Get the facts about back pain at work and how to prevent it.

Whether it's dull and achy or sharp and stabbing, back pain can make it hard to concentrate on your job. Unfortunately, many occupations — such as nursing, construction and factory work — can place significant demands on your back. Even routine office work can cause or worsen back pain. Understand what causes back pain at work and what you can do to prevent it.

Common causes of back pain at work

A number of factors can contribute to back pain at work. For example:

• Force. Exerting too much force on your back — such as by lifting or moving heavy objects — can cause injury.
• Repetition. Repeating certain movements, especially those that involve twisting or rotating your spine, can injure your back.
• Inactivity. An inactive job or a desk job can contribute to back pain, especially if you have poor posture or sit all day in a chair with inadequate back support.

Back pain and lifestyle factors

Of course, factors such as aging, obesity and poor physical condition can also contribute to back pain. While you can't control your age, you can focus on maintaining a healthy weight, which minimizes stress on your back.

Start by eating a healthy diet. Make sure you get enough calcium and vitamin D. These nutrients can help prevent a condition that causes your bones to become weak and brittle (osteoporosis). Osteoporosis is responsible for many of the bone fractures that lead to back pain.

Combine aerobic exercise, such as swimming or walking, with exercises that strengthen and stretch your back muscles and abdomen. Exercises that increase your balance and strength can also decrease your risk of falling and injuring your back. Consider tai chi, yoga and weight-bearing exercises that challenge your balance.

For most healthy adults, the Department of Health and Human Services recommends at least 150 minutes a week of moderate aerobic activity or 75 minutes a week of vigorous aerobic activity — preferably spread throughout the week — and strength training exercises at least twice a week.

If you smoke, quit. Smoking reduces blood flow to your lower spine, which can contribute to spinal disk degeneration and slow healing from back injuries. Coughing associated with smoking can also cause back pain.

Preventing back pain at work

You can take steps to avoid and prevent back pain and injuries at work. For example:

• Pay attention to posture. When standing, balance your weight evenly on your feet. Don't slouch. To promote good posture when sitting, choose a chair that supports your lower back. Adjust the height of your chair so that your feet rest flat on the floor or on a footrest and your thighs are parallel to the floor. Remove your wallet or cellphone from your back pocket when sitting to prevent putting extra pressure on your buttocks or lower back.
• Lift properly. When lifting and carrying a heavy object, get close to the object, bend your knees and tighten your stomach muscles. Use your leg muscles to support your body as you stand up. Hold the object close to your body. Maintain the natural curve of your back. Don't twist when lifting. If an object is too heavy to lift safely, ask someone to help you.
• Modify repetitive tasks. Use lifting devices, when available, to help you lift loads. Try to alternate physically demanding tasks with less demanding ones. If you work at a computer, make sure that your monitor, keyboard, mouse and chair are positioned properly. If you frequently talk on the phone and type or write at the same time, place your phone on speaker or use a headset. Avoid unnecessary bending, twisting and reaching. Limit the time you spend carrying heavy briefcases, purses and bags.
• Listen to your body. If you must sit for a prolonged period, change your position often. Periodically walk around and gently stretch your muscles to relieve tension.

Examine your work environment and address situations that might aggravate your back. Even simple steps can help prevent back injury and pain.

June 03, 2021

1. Low back pain fact sheet. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Low-Back-Pain-Fact-Sheet. Accessed April 11, 2021.
2. Preventing back pain at work and at home. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/staying-healthy/preventing-back-pain-at-work-and-at-home/. Accessed April 11, 2021.
3. Know the facts about backs. National Safety Council. https://www.nsc.org/getmedia/a98369c0-fb56-4e1e-ac38-43ea9cc9ccca/backs-english.pdf.aspx. Accessed April 11, 2021.
4. Back pain. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/back-pain#10. Accessed April 11, 2021.
5. Physical Activity Guidelines for Americans. 2nd ed. U.S. Department of Health and Human Services. https://health.gov/our-work/physical-activity/current-guidelines. Accessed April 11, 2021.
6. Workstation components: Chairs. Occupational Safety and Health Administration. https://www.osha.gov/SLTC/etools/computerworkstations/components_chair.html. Accessed April 11, 2021.

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